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Sr. High Youth Registration
Senior High Youth
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Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Address (Street, City, Zip)
*
Your answer
Phone number | Area code & number (Numbers only. No
(-)
)(Numbers only. No
(-)
)
*
Your answer
Phone Number for 2022-23 Remind Code | Area code & number (Numbers only. No
(-)
)
*
Your answer
High School
*
GHHS
MHS
PHS
HMA
SHS
EDHS (El Diamante)
LHS
Butterfield
Home School
Citrus
Other:
Class of
*
2023
2024
2025
2026
Religious Affiliation
*
Catholic
Protestant (Christian Non-Catholic)
None of the above
Sacrements Completed
*
Baptism
First Confession
Frist Communion
Confirmation
None of the above
Required
Special Needs | Food Allergies
Your answer
Parent Guardian Info (Last, First)
*
Your answer
Parent Contact Number | Area code & number (Numbers only. No
(-)
)
*
Your answer
Parent Email
*
Your answer
Emergency Contact Info (Name)
*
Your answer
Emergency (Phone)
*
Your answer
***DON'T MISS THE NEXT STEP**
AFTER YOU HIT SUBMIT. CLICK ON THE LINK TO JOIN OUR
2022-23 REMIND
GROUP
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